Forms
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Flexible Spending Accounts
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Dependent care claim reimbursement (WageWorks website)
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Health care claim reimbursement (WageWorks website)
Health, Dental and Vision
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Health insurance marketplace coverage from Mass. Department of Labor (pdf)
- Tufts member COVID test reimbursement form (Tufts Health Plan website)
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Tufts member reimbursement medical claim (Tufts Health Plan website)
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Tufts member fitness rebate (Tufts Health Plan website)
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Tufts weight management member rebate (Tufts Health Plan website)
Retirement
Accessible via NetBenefits
The following retirement plan forms can accessed directly via the university's NetBenefits retirement planning portal:
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Fidelity beneficiary designation
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Fidelity change of address
- TIAA designation of beneficiary
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TIAA name change
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TIAA Group Supplemental Retirement Annuity enrollment (used for voluntary contributions)
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TIAA RA Enrollment (used for required contributions only)
Downloadable Forms
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